[Hiring] Principal Software Engineer (Python & AI Systems) @C&D Talent Advisory

Role Description

We're looking for a Principal Software Engineer to design and build the core infrastructure powering autonomous AI clinicians. This is a highly hands-on engineering role focused on building large-scale distributed systems, AI agents, secure healthcare infrastructure, and production-grade backend platforms. You'll work directly with founders, hospitals, and healthcare providers to solve complex technical problems that have real-world impact.

If you're a builder who thrives in ambiguity, enjoys solving difficult engineering challenges, and wants to shape the future of AI-powered healthcare, we'd love to hear from you.

What You'll Do

• AI Platform Engineering:
  • Architect and build AI agent systems for healthcare applications
  • Design scalable distributed backend services
  • Develop secure healthcare infrastructure handling sensitive clinical data
  • Build low-latency communication systems supporting voice and video workflows
• Production Engineering:
  • Build scalable Python services powering enterprise healthcare platforms
  • Design APIs, orchestration systems, and backend infrastructure
  • Optimize system performance, scalability, and reliability
  • Improve deployment, monitoring, and operational excellence
• AI Systems:
  • Build production systems around LLMs, AI agents, and reinforcement learning
  • Design agent orchestration frameworks
  • Integrate AI capabilities into real-world healthcare workflows
  • Continuously improve system accuracy and operational performance
• Technical Leadership:
  • Translate ambiguous product challenges into scalable engineering solutions
  • Partner directly with founders and product teams
  • Help shape technical architecture and engineering standards
  • Mentor engineers through technical leadership and example

Qualifications

• 5+ years building complex production software systems
• Strong Python engineering experience
• Experience designing scalable distributed systems
• Track record of building production-grade backend platforms
• Experience turning ambiguous requirements into reliable solutions
• Strong system design and architecture skills
• Startup or high-growth company experience
• High ownership and strong problem-solving mindset
• Excellent communication skills
• Based in Europe

Requirements

• Healthcare technology experience
• AI, LLM, or Agentic AI experience
• Reinforcement Learning
• Cloud infrastructure (AWS, GCP, Azure)
• Enterprise software experience
• Open-source contributions
• Background in Mathematics, Computer Science, or Physics
• Experience building products from zero to production

Benefits

• €100,000–€200,000 salary
• Meaningful equity package
• Fully remote across Europe
• Flexible employment (Permanent or B2B)
• Opportunity to work directly with founders
• High ownership from day one
• Small, elite engineering team
• Mission-driven work solving one of healthcare's biggest challenges
• Opportunity to build technology with global impact